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NPI Code Detail

MEDICARE: PURPOSE RESIDENTIAL HOMES

MEDICARE: PURPOSE RESIDENTIAL HOMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1861169757
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURPOSE RESIDENTIAL HOMES
Provider Business Mailing Address
First Line : 3024 WESTFORK DR STE B
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-2252
Country : US
Telephone Number : 225-229-3254
Fax Number : 225-380-2171
Provider Business Practice Location Address
First Line : 3024 WESTFORK DR STE B
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-2252
Country : US
Telephone Number : 225-229-3254
Fax Number : 225-380-2171
Authorized Official
Title or Position : CO OWNER
Name : PAMELA FAY WILLIAMS
Credential : LPN
Telephone Number : 225-978-3447
Provider Enumeration Date : 08/27/2021
Last Update Date : 08/27/2021

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Directions to “PURPOSE RESIDENTIAL HOMES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.